Three packages. Cheaper if you commit.

Technical fixes and Google Business Profile work can shift local rankings within weeks. Content and links are slower, usually three to six months before a competitive specialty page holds a position. Anyone promising a specific ranking on a specific date is guessing, and Google's own documentation says the same.

Yes, and it is the reason the first package exists. Without a physical address you cannot rank in the map pack, so the Google Business Profile work that most local SEO is built on is off the table. What is left still works: specialty and modality pages, the technical layer, directory profiles and citations, and being readable to AI assistants. That is the Online Visibility Package, and it deliberately does not charge you for map pack work you cannot use.

It matters enough to build for, not enough to panic about. People are increasingly asking an assistant for a therapist rather than typing it into a search box, and those tools answer by summarising sources instead of listing links. The practical work of being one of those sources is mostly the same work that makes you rank normally: clear structure, consistent facts about your practice, and unambiguous specialty pages. That is why it is in every package rather than sold as an add-on. Anyone quoting you a precise share of therapy searches now happening in AI is making it up.

No, and neither should you in most cases. Most licensing boards and professional ethics codes restrict soliciting testimonials from current clients. That rules out the review-generation tactics that general local SEO agencies lead with. It is a real constraint, and it means credibility has to be built through specialty depth, credentials, professional affiliations, and clear writing instead.

Directories work, and there is no reason to drop them. The issue is that you are renting that visibility and competing with everyone else in the listing on the same page. Your own site is the one asset where you set the terms. Most practices are better off running both.

Usually not. Squarespace, Wix, WordPress, and most practice-management site builders can all rank fine. A migration only comes up if the platform blocks something fundamental, and if that is the case I will tell you what it costs before you commit to anything.

Yes, and I publish them too. This is a done-for-you arrangement: topics, drafting, editing, and publishing all happen here, so nothing sits in your inbox waiting on you. Content stays inside general psychoeducation — no diagnosis, no treatment advice, no claims about outcomes — and it is built from your own pages and how you already describe your work. If you would rather sign off on everything, or just on certain topics, say so at the start and it runs that way instead. Either way you can pull or change anything at any time.

There are three ways to pay and you pick. Monthly is the standard rate and you can stop with thirty days' notice. Quarterly is twenty percent cheaper and annual is forty percent cheaper, because you are paying for the term up front and SEO work compounds over exactly that kind of horizon. There is no minimum term on monthly, and whichever you choose, the work stays with you: the pages, the profile, the schema, and the documentation.